Provider Demographics
NPI:1740206846
Name:SAPPERSTEIN, ARNOLD MARTIN (OD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:MARTIN
Last Name:SAPPERSTEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6220 OLD DOBBIN LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5812
Mailing Address - Country:US
Mailing Address - Phone:410-882-9600
Mailing Address - Fax:612-367-0841
Practice Address - Street 1:7684 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-4088
Practice Address - Country:US
Practice Address - Phone:410-882-9600
Practice Address - Fax:410-882-4917
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0593152W00000X
DCOP342152W00000X
PAOE004333T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T59993Medicare UPIN